The Novel Technique of Sternal Closure With Absorbable Mesh for Osteoporotic Patients

Morimoto, Kazuki; Matsushita, T.; Masuda, Shinsuke; Kurata, Atsushi

doi:10.1016/j.hlc.2020.10.013

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…This mesh-type device is strong enough to prevent sternal cutting by wiring but can be cut into pieces using scissors. Morimoto et al demonstrated a technique using a mesh-type plate placed both on the anterior wall of the sternum and in the sternal bone marrow in combination with heavy braided polydioxanone [Morimoto 2021]. Although this technique can firmly prevent anterior-posterior sternal displacement, there are times wherein the mesh fails to fit the anterior sternum, due to the presence of muscle or fascia.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, the mesh-type plate of an absorbable osteosynthesis device (Super Fixorb MX40 ® ; Takiron Co. Ltd., Osaka, Japan), which is made of unsintered hydroxyapatite poly-L-lactic acid (u-HA/PLLA), has been made commercially available as a sternal closure material. Few studies have demonstrated the use of this device [Morimoto 2021]. Hence, the present study aimed to evaluate the sternal stability of a simple technique using a mesh plate device, as compared to that with wire cerclage.…”

Section: Introductionmentioning

confidence: 99%

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The Simple Technique of Sternal Closure Using An Absorbable Mesh Plate

Watanuki

Futamura

Tochii

et al. 2022

HSF

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Background: Several authors have investigated various sternal closure materials and technologies for sternal fixation; nonetheless, the optimal technique for primary sternal closure remains unclear. This study aimed to evaluate the sternal stability of a simple technique using a mesh-type plate (Super Fixorb MX40®; Takiron Co. Ltd., Osaka, Japan), as compared with wire cerclage. Methods: A total of 70 patients who underwent cardiovascular surgery through median sternotomy between July 2019 and May 2020 were included. Two pieces of mesh-type plates were placed under the sternum in combination with wiring. The technique for sternal closure was randomly applied, which was mainly based on the surgeon’s preferences: mesh plate (mesh group: N = 33) or conventional wire cerclage (wire group: N = 37). Sternal displacement was measured using computed tomography at discharge. Results: Pain scale scores and analgesic use on postoperative day 7 were similar between the two groups. However, the displacement in both the anterior-posterior and lateral directions was significantly smaller in the mesh group. Conclusions: The use of the mesh plate device for sternal closure is simple, safe, easy, and potentially reliable without anterior-posterior sternal displacement.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Simple Technique of Sternal Closure Using An Absorbable Mesh Plate

Watanuki

Futamura

Tochii

et al. 2022

HSF

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“…For example, a Japanese group recently supplemented wire closure in patients with osteoporosis with mesh placed over and under the sternum, which they report reduces sternal instability. 25 If mesh suture is used for sternal closure, all of these variables (wire configuration, number of sutures, and combinations of closure methods) may affect the performance of the mesh and would warrant testing before application in patients. For example, a combination sternal closure with DWM and double wires may capitalize on the advantages of each material.…”

Section: Discussionmentioning

confidence: 99%

Novel mesh suture may resist bone cutting seen with wire-based sternal closures

Bharadwaj,

Raikar,

Dumanian

et al. 2023

JTCVS Techniques

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“…The following sternal fixation methods were used after sternotomy: Ethibond Excel thread (Johnson & Johnson, New Brunswick, NJ, USA) ( 20 ), Yokozuna Wire (Matsuda Medical Industries, Tokyo, Japan) ( 21 ), Grand Fix sternal pin (Gunze, Tokyo, Japan) ( 22 ), SternaLock sternal plate (BIOMET, Warsaw, IN, USA) ( 23 ), and Super Fixove MX mesh plate (Teijin Medical Technologies, Osaka, Japan) ( 24 ).…”

Section: Methodsmentioning

confidence: 99%

Postoperative C-reactive protein levels correlate with reduced spinal column mobility after median sternotomy: a prospective cohort study

Ito,

Hara,

Irie

2024

J Thorac Dis

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Background The sternum is connected to the spinal column via the ribs, forming the thorax. Therefore, it is necessary to consider the effect of a midline sternotomy on the spinal column, but no in vivo studies have been conducted to date. We investigated the changes in the range of motion of the spinal column before and after midline sternotomy and the perioperative factors that have the greatest influence. Methods The participants were patients who had undergone cardiac surgery through a standby midline sternotomy. Spinal range of motion in forward flexion was measured before and after surgery. The following perioperative factors were investigated: operating time, days to postoperative measurement, C-reactive protein (CRP) measurement on the third postoperative day, the day of the start of bed release, and the stage of bed release progression on the second postoperative day. Statistics were compared between the two groups before and after surgery for each factor. Multiple regression analysis (forced entry method) was then performed with the change in spinal range of motion, which showed statistical differences between the preoperative and postoperative groups, as the dependent variable and each perioperative factor as the independent variable. Results The study included 93 patients. Postoperatively, there was a significant decrease in thoracic spine range of motion. Multiple regression analysis showed that an increase in CRP on the third postoperative day was responsible for the decrease in thoracic range of motion (β=−0.30, P<0.01). Conclusions After median sternotomy, thoracic spine range of motion was decreased and correlated with postoperative inflammation.

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The Novel Technique of Sternal Closure With Absorbable Mesh for Osteoporotic Patients

Cited by 4 publications

References 7 publications

The Simple Technique of Sternal Closure Using An Absorbable Mesh Plate

The Simple Technique of Sternal Closure Using An Absorbable Mesh Plate

Novel mesh suture may resist bone cutting seen with wire-based sternal closures

Postoperative C-reactive protein levels correlate with reduced spinal column mobility after median sternotomy: a prospective cohort study

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